| NPI | 1932597440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 36898) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP014554) |
| 363L00000X Nurse Practitioner (Licence: CA 95008141) | |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2025-11-03 |